MIGUEL TERESI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

MIGUEL

Last Name

TERESI

Suffix

Business Name

MIGUEL TERESI MD

Original Issue Date

01/01/1997

Effective Date

04/13/2011

Expiration Date

07/31/2014

City

GLENCOE

State

Zip

60022

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014